Back to Results
Cover image of Governance of Teaching Hospitals
Cover image of Governance of Teaching Hospitals
Share this Title:

Governance of Teaching Hospitals

Turmoil at Penn and Hopkins

John A. Kastor, M.D.

Publication Date
Binding Type

What forces lead to changes in governance among medical schools and their associated teaching hospitals? To what extent do such changes affect how well those schools and hospitals do their work? In this book, John A. Kastor, M.D., focuses on the academic medical centers of the University of Pennsylvania and the Johns Hopkins University, two institutions that underwent dramatic change in governance during the late 1990s.

Drawing on extensive interviews with more than three hundred administrators, physicians, and other medical professionals at Penn, Hopkins, and elsewhere, Kastor identifies the...

What forces lead to changes in governance among medical schools and their associated teaching hospitals? To what extent do such changes affect how well those schools and hospitals do their work? In this book, John A. Kastor, M.D., focuses on the academic medical centers of the University of Pennsylvania and the Johns Hopkins University, two institutions that underwent dramatic change in governance during the late 1990s.

Drawing on extensive interviews with more than three hundred administrators, physicians, and other medical professionals at Penn, Hopkins, and elsewhere, Kastor identifies the factors that influenced changes in governance at these two institutions. Chief among these, he finds, are structure, personality conflicts, and current events. This book will be of interest to administrators of teaching hospitals as well as professionals in health policy and management.

Reviews

Reviews

For anyone involved or interested in medical education, Governance of Teaching Hospitals provides a deeper understanding of how teaching hospitals function and why people leading hospitals and universities do what they do, and it will help guide those who lead teaching hospitals to analyze more successfully the problems confronting their institutions.

Shows the resilience of these large institutions and their ability to absorb and recover from crises.

Kastor has provided us with great gossip, complete with comprehensive and detailed accounts of fascinating events, and with an important reminder of what can happen when an academic medical center confronts the challenges of the contemporary health care delivery system.

John A. Kastor offers a peek through the curtains in his book, Governance of Teaching Hospitals: Turmoil at Penn and Hopkins.

[A] readable, carefully constructed, and useful analysis... [with] a wealth of detail and a cast of hundreds... Details of the power struggles will prove to be the book's strongest feature. This book should be of interest and value not only to those who are directly involved in leadership roles at academic medical centers but also to anyone interested in the success of such institutions.

See All Reviews
About

Book Details

Publication Date
Status
Available
Trim Size
6
x
9
Pages
368
ISBN
9780801874208
Illustration Description
15 halftones
Table of Contents

Preface
1. Introduction
Part I: University of Pennsylvania
2. Before Kelley
3. Kelley the Builder
4. Kelley in Trouble
5. After Kelley
Part II: Johns Hopkins University and Hospital
6. Separate Governance
7

Preface
1. Introduction
Part I: University of Pennsylvania
2. Before Kelley
3. Kelley the Builder
4. Kelley in Trouble
5. After Kelley
Part II: Johns Hopkins University and Hospital
6. Separate Governance
7. Unified Governance
8. Conclusions
Appendix 1: Governance of American Academic Medical Centers
Appendix 2: Interviewees
Notes
Index

Author Bio
Featured Contributor

John A. Kastor, M.D.

John A. Kastor, M.D., a professor of medicine at the University of Maryland School of Medicine, is the former chief of the Cardiovascular Division at the University of Pennsylvania School of Medicine and former chair of the Department of Medicine at Maryland. He is the author of Arrhythmias; Mergers of Teaching Hospitals in Boston, New York, and Northern California; Governance of Teaching...
Resources

Additional Resources